Testicular Pain Assessment in Birmingham

Testicular pain (orchalgia) is a common urological complaint. It ranges from acute, severe pain requiring emergency assessment, to chronic, intermittent discomfort. Mr Syed Ali Shahzad, Consultant Urological and Robotic Surgeon, assesses and manages testicular pain at private hospitals across Birmingham.

Causes of Testicular Pain

• Testicular torsion: Twisting of the spermatic cord cuts off the blood supply to the testicle. This is a urological emergency. Sudden, severe scrotal pain in a young man requires immediate assessment. If torsion is confirmed, surgery within 6 hours is necessary to save the testicle.
• Epididymitis / epididymo-orchitis: Infection causing pain and swelling developing over days.
• Trauma: Blunt injury to the scrotum can cause haematoma or testicular rupture.
• Inguinal hernia: Pain referred from an inguinal hernia.
• Varicocele: Chronic dull ache or heaviness from dilated scrotal veins.
• Referred pain: Kidney stones can cause pain referred to the testis.
• Chronic orchalgia: Persistent testicular pain without an identifiable cause, which may be neuropathic in origin.

Assessment

Acute severe pain is assessed urgently. Scrotal ultrasound Doppler, urine tests and examination guide diagnosis. Treatment depends entirely on the identified cause.

Book a Consultation

For acute severe testicular pain, seek immediate care. For persistent or recurrent testicular pain, no GP referral is required. Mr Shahzad is recognised by BUPA, AXA, AVIVA, Vitality, Cigna and WPA. Book an appointment or contact us.